What is an impotence?

This means pressure for many men. No one talks about erectile dysfunction (also called erectile dysfunction or impotence). Men want to be strong and potent! They define their masculinity through their sexual possibilities and abilities. In our enlightened society, erectile dysfunction is still a taboo topic.

What does erectile dysfunction mean?

Medically, erectile dysfunction or impotence means the existing or recurring inability to achieve and / or maintain an erection sufficient for satisfactory sexual intercourse.

As a rule of thumb, if over 30 to 50 percent of attempts to engage in sexual intercourse in the last 3 months have been frustrating, there is probably an erectile dysfunction.

How many men are affected?

Frequency of potency problems Are many men affected? Am I the only man affected by this? No, you are not alone!

If men were permanently suffering from inadequate erections, when “it” did not work out, there was a long silence – even in science. For more than six decades, the 1948 Kinsey Report was the only viable study of sexual behavior and sexual dysfunction.

The currently most significant study on erectile dysfunction is based on a survey of 10,000 men who, under the direction of Prof. Dr. med. Summer was performed. She showed that one in five men between the ages of 50 and 59 suffers from erectile dysfunction. And one in three men between the ages of 60 and 69 complains of minor or severe erection problems. In the meantime, erectile dysfunction is far more numerous than other typical civilization diseases such as high blood pressure (hypertension), coronary heart disease, diabetes (diabetes), hyperlipidemia or generalized arteriosclerosis.

A first indication of whether you suffer from erectile dysfunction gives you our self-test.

Causes of erection problems

The causes of erectile dysfunction can be roughly categorized into organic causes, psychogenic causes, and age-related causes. Erectile dysfunction is organically caused in over 80 percent of cases and can be treated accordingly. More about the causes

The diagnosis

A more accurate diagnosis (and of course help) is offered by the doctor, who can use various examinations to determine exactly where the problem lies and how it can be treated. Make sure that your doctor offers the appropriate diagnostic equipment and procedures, such as a biothesiometer (for nerve measurement), an EMG (which detects the pelvic floor muscles), a dynamometry, an ultrasound for color-coded Doppler duplex sonography (to measure the 4 penile vessels) and an apparatus that can detect the composition of the erectile tissue.

Erection Problems – Therapy and Healing

The times are over when the man (and his partner) surrendered to fate. There are numerous healing and treatment options for the treatment of erectile dysfunction. Nowadays, no man in Europe has to suffer from impotence.

Based on your diagnostic results, the specialist determines an individual therapy.

Evolutionary disappeared: the penile bone

Primates, such as gorillas and chimpanzees, predators such as bears, cats and dogs, rodents, whales and elephants have one thing in common: a penile bone. A penis equipped with a bone is characterized by lasting rigidity and is ready for copulation quickly. The genetic material can thus be passed on constantly: A clear advantage for living beings with multiple sexes!

The men, however, have no penile bone (os penis): He was lost in the course of evolution. Your penis now works on the hydraulic principle. From an evolutionary point of view, the development is conclusive. For the penile bone has disappeared because he could have led the increasingly monogamous Ur-woman in assessing the health of her partner in the wrong. Reminder: Organically induced erectile dysfunction is always an indication of possible health problems in men.

Men are poorly acquainted with the risk factors that lead to erectile dysfunction (impotence)

Sad but true: a large study has shown how few men are familiar with the risk factors for Erectile Dysfunction (ED). Background: The biggest risk factors include smoking and obesity – risk factors that men can control themselves, at least to some extent. However, very few men are aware that giving up smoking and losing weight would probably result in a better erection. This is also proven by the study. In it, the men who had cardiovascular rehabilitation for circulatory disorders of the heart were asked about the following six risk factors: smoking, overweight and obesity, high blood pressure, diabetes (diabetes), elevated blood lipid levels (hyperlipidemia) and sedentary lifestyle. In fact, almost 40% of men could not name any of these risk factors! And only 6% knew all risk factors! However, 36% of men knew that smoking can lead to erectile dysfunction. Thirty-three percent of respondents were aware that being overweight or obese leads to a deterioration in sexuality. And at least 32% of respondents included diabetes (diabetes) or high blood pressure (hypertension) among the risk factors. That increased blood lipid levels (hyperlipidemia) and many sitting risk factors are known only 20 percent and 17 percent of respondents.

As a result, men should learn more about the risk factors that favor erectile dysfunction – so they can improve their health awareness, lifestyle, and therefore, their erectile function!

Do not feel like? For many diabetics sexuality is too short

Many men with diabetes also suffer from erectile dysfunction (ED) or impotence. Without the underlying disease, many of them probably would not have developed an erectile dysfunction that early. In a large Danish study with men and women, it was now examined what the sex life of diabetics looks like. The result: 17% of men and 54% of women said that they are sexually inactive, so they have no sexual contacts with a partner or with themselves. In addition, the study found that over 50% of men and over 40% of women did not meet their sexual needs. One third of men and 11% of women showed very high pressure to perform. And finally, many of the diabetics surveyed also have to deal with reduced libido and physical problems.

In conclusion, it can be summarized that both sexually active and sexually inactive type II diabetes patients need more education. Because the relationships and influences of the sugar disease – such as the change in the microcirculation of the vessels or changes in the nervens sensitivities – many of them are not known. Neither is it known to many diabetics that they can do something to experience a fulfilled sexuality again. Learn more about the diagnostic measures here

Chronic fatigue syndrome is often associated with erectile dysfunction

Tormenting fatigue, fatigue, listlessness: These are the signs of a fatigue syndrome, also known as fatigue syndrome. Data from the National Health Insurance Fund show that the number of men with a fatigue syndrome is steadily rising in the industrialized nations. In addition, numerous “secondary diseases” (comorbidity) can be detected. For example, men with chronic fatigue syndrome (CFS) are twice as likely to get organically-induced erectile dysfunction than men without CFS. The risk is particularly high among 40- to 59-year-old men.

It is thought that the autonomic nervous system plays a major role here. The autonomic nervous system controls unconscious functions, e.g. the breathing and the blood pressure. Of course, both functions also play an important role in erectile function and erectile function. In order to take therapeutic measures here, a good diagnosis is important.

Do cholesterol and blood pressure lowering drugs contribute to erectile dysfunction?

Some medications, for example for the treatment of cardiac symptoms, have a negative impact on erectile function and sexuality. In the long term, they can sometimes even lead to impotence. As a result, many men who develop erectile dysfunction (ED) during heart medication postpone these on medication. New international studies have now shown, however, that rosuvastatin (a statin that lowers cholesterol) and the blood pressure-lowering combination drug of candesartan with hydrochlorothiazide (HCTZ) do not appear to have any adverse effects on erectile function. Subjects were followed for an average of six years. To give the final all-clear, one certainly has to wait for further long-term studies. Until then, the individual therapy needs should be in the foreground.